Organization Active NPI

Look Eyecare LLC

  • Optometrist
  • Shreveport, LA
National Provider Identifier
1043819378
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOOK EYECARE LLC
Practice address
5848 Line Ave
Shreveport, LA 71106-1532
Phone
(318) 865-0017
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christine M Davis, ODNPI 1033182183
Title
Provider Owner
Phone
(318) 868-6118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5848 Line Ave
Shreveport, LA 71106-1532

Mailing address

5848 Line Ave
Shreveport, LA 71106-1532
Phone (318) 865-0017

Other practice location 1

955 Pierremont Rd Ste 400
Shreveport, LA 71106-2096
Phone (318) 868-6118

Other practice location 2

1812 Roselawn Ave
Monroe, LA 71201-5434
Phone (318) 387-1602

Other identifiers 1

IdentifierTypeStateIssuer
2505882MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211201001597 LA Part B Supplier - Clinic/Group Practice 4981094240 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

955 Pierremont Rd
Ste 400
Shreveport, LA 71106
Phone (315) 562-3868

5848 Line Ave
Shreveport, LA 71106
Phone (318) 865-0017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1043819378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061532",
            "telephone_number": "318-865-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061532",
            "telephone_number": "318-865-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 Pierremont Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711062096",
            "country_code": "US",
            "telephone_number": "318-868-6118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1812 Roselawn Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015434",
            "country_code": "US",
            "telephone_number": "318-387-1602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOOK EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER OWNER",
        "authorized_official_telephone_number": "318-868-6118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2505882",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.